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Analysis of mineral composition & bacterial flora in 4 tonsillolith stones.

Author(s): Sudhir M Naik | S. Ravishankara | Mohan Appaji | M.K. Gautham | Pinky Devi | Sarika S Naik

Journal: Otolaryngology Online Journal
ISSN 2250-0359

Volume: 3;
Issue: 4;
Start page: 99;
Date: 2013;
Original page

Keywords: Tonsillolith | mineral composition

Background/ objectives; Large tonsillolith is a rare entity although small calcifications in the tonsillar tissue are a common clinical finding in adults. Thesepatients usually present with bad breath odor, pain during swallowing or foreign body sensation in the throat.Design: K V G Medical College, Department of ENT, Head & Neck Surgery.Intervention: Tonsillectomy was done in all the cases & tonsillar specimen sent for histopathological analysis & tonsillolith for mineral & bacterial flora analysis.Result: Normal tonsillar lymphoid tissue was seen on histopathology in all the 4 cases. Calcium carbonate & phosphate was seen in all with magnesium phosphate in one. Fusobacterium an oral anaerobic commensal were isolated from 2 stones.Conclusion: Tonsilloliths are sometimes incidental findings in X-ray neck & nasopharynx. Treatment includes surgical removal for superficial stones & tonsillectomy for larger & deeper stones.
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